Salmonella colitis or inflammatory bowel disease? A case demonstrating overlapping of clinical, endoscopic and pathologic features

 
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Annals of Gastroenterology
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Salmonella colitis or inflammatory bowel disease? A case demonstrating overlapping of clinical, endoscopic and pathologic features (EN)

Lazaris A.,
Petraki K.,
Liatsos Ch.,
Psilopoulos D., .
Mavrogiannis Ch.,
Papanikolaou I.,

SUMMARY Inflammatory bowel disease and gastroenteritis secondary to Salmonella infection may manifest with overlapping clinical, endoscopic and histologic features. The case reported is of a 70-year-old woman who was admitted to hospital due to fever and diarrhea. Colonoscopic findings were suggestive of Crohn’s disease, however pathologic examination when based on crypt architecture and presence of an acute neutrophilic inflammatory infiltrate in the lamina propria, was not diagnostic of either Crohn’s disease or acute self limited colitis. Stool cultures were positive for Salmonella and treatment with antibiotics was begun, followed by the patient’s clinical improvement. Repeat colonoscopy was performed a few days later and endoscopic findings demonstrated marked improvement. Pathologic examination of biopsies this time were compatible with Crohn’s disease, particularly evaluating the formation of microgranulomas as well as basal lymphoid hyperplasia and basal lymphoid aggregates. Key words: Inflammatory bowel disease, Salmonella infection, endoscopy, pathology (EN)

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info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 14, No 1 (2001) (EN)



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